Background Hypertension can be detected at the primary health-care level and low-cost treatments can effectively control hypertension. We aimed to measure the prevalence of hypertension and progress in its detection, treatment, and control from 1990 to 2019 for 200 countries and territories. MethodsWe used data from 1990 to 2019 on people aged 30-79 years from population-representative studies with measurement of blood pressure and data on blood pressure treatment. We defined hypertension as having systolic blood pressure 140 mm Hg or greater, diastolic blood pressure 90 mm Hg or greater, or taking medication for hypertension. We applied a Bayesian hierarchical model to estimate the prevalence of hypertension and the proportion of people with hypertension who had a previous diagnosis (detection), who were taking medication for hypertension (treatment), and whose hypertension was controlled to below 140/90 mm Hg (control). The model allowed for trends over time to be non-linear and to vary by age.Findings The number of people aged 30-79 years with hypertension doubled from 1990 to 2019, from 331 (95% credible interval 306-359) million women and 317 (292-344) million men in 1990 to 626 (584-668) million women and 652 (604-698) million men in 2019, despite stable global age-standardised prevalence. In 2019, age-standardised hypertension prevalence was lowest in Canada and Peru for both men and women; in Taiwan, South Korea, Japan, and some countries in western Europe including Switzerland, Spain, and the UK for women; and in several low-income and middle-income countries such as Eritrea, Bangladesh, Ethiopia, and Solomon Islands for men. Hypertension prevalence surpassed 50% for women in two countries and men in nine countries, in central and eastern Europe, central Asia, Oceania, and Latin America. Globally, 59% (55-62) of women and 49% (46-52) of men with hypertension reported a previous diagnosis of hypertension in 2019, and 47% (43-51) of women and 38% (35-41) of men were treated. Control rates among people with hypertension in 2019 were 23% (20-27) for women and 18% (16-21) for men. In 2019, treatment and control rates were highest in South Korea, Canada, and Iceland (treatment >70%; control >50%), followed by the USA, Costa Rica, Germany, Portugal, and Taiwan. Treatment rates were less than 25% for women and less than 20% for men in Nepal, Indonesia, and some countries in sub-Saharan Africa and Oceania. Control rates were below 10% for women and men in these countries and for men in some countries in north Africa, central and south Asia, and eastern Europe. Treatment and control rates have improved in most countries since 1990, but we found little change in most countries in sub-Saharan Africa and Oceania. Improvements were largest in high-income countries, central Europe, and some upper-middle-income and recently high-income countries including

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Summary Background Comparable global data on health and nutrition of school-aged children and adolescents are scarce. We aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. Methods For this pooled analysis, we used a database of cardiometabolic risk factors collated by the Non-Communicable Disease Risk Factor Collaboration. We applied a Bayesian hierarchical model to estimate trends from 1985 to 2019 in mean height and mean BMI in 1-year age groups for ages 5–19 years. The model allowed for non-linear changes over time in mean height and mean BMI and for non-linear changes with age of children and adolescents, including periods of rapid growth during adolescence. Findings We pooled data from 2181 population-based studies, with measurements of height and weight in 65 million participants in 200 countries and territories. In 2019, we estimated a difference of 20 cm or higher in mean height of 19-year-old adolescents between countries with the tallest populations (the Netherlands, Montenegro, Estonia, and Bosnia and Herzegovina for boys; and the Netherlands, Montenegro, Denmark, and Iceland for girls) and those with the shortest populations (Timor-Leste, Laos, Solomon Islands, and Papua New Guinea for boys; and Guatemala, Bangladesh, Nepal, and Timor-Leste for girls). In the same year, the difference between the highest mean BMI (in Pacific island countries, Kuwait, Bahrain, The Bahamas, Chile, the USA, and New Zealand for both boys and girls and in South Africa for girls) and lowest mean BMI (in India, Bangladesh, Timor-Leste, Ethiopia, and Chad for boys and girls; and in Japan and Romania for girls) was approximately 9–10 kg/m 2 . In some countries, children aged 5 years started with healthier height or BMI than the global median and, in some cases, as healthy as the best performing countries, but they became progressively less healthy compared with their comparators as they grew older by not growing as tall (eg, boys in Austria and Barbados, and girls in Belgium and Puerto Rico) or gaining too much weight for their height (eg, girls and boys in Kuwait, Bahrain, Fiji, Jamaica, and Mexico; and girls in South Africa and New Zealand). In other countries, growing children overtook the height of their comparators (eg, Latvia, Czech Republic, Morocco, and Iran) or curbed their weight gain (eg, Italy, France, and Croatia) in late childhood and adolescence. When changes in both height and BMI were considered, girls in South Korea, Vietnam, Saudi Arabia, Turkey, and some central Asian countries (eg, Armenia and Azerbaijan), and boys in central and western Europe (eg, Portugal, Denmark, Poland, and Montenegro) had the healthiest changes in anthropometric status over the past 3·5 decades because, compared with children and adolescents in other countries, the...

Abstract-Recent theoretical model suggests that motor competence during early childhood is related to one's current and future health status and that practicing sports seems to be playing a special role in creating such competence. This study aimed to compare performance in gross motor skills among preschoolers participating in regular sports practice (SP) and those not participating (NSP), including comparisons by gender. The study uses secondary data from a population-based study of performance regarding the locomotor and object control skills of preschoolers (3 to 5 years old). Preschoolers were assigned to groups SP or NSP, paired by age and sex according to skills: locomotor (n = 54; 30 boys) or object control (n = 37; 17 boys). Analysis of variance showed that the SP group outperformed the NSP one, and there were gender differences only within SP group. Starting to practice sports during early childhood helps to build motor competence and benefits both genders.Keywords: psychomotor performance, children, sports, physical activity Resumo-"A participação na prática de esportes e competência motora em crianças pré-escolares." Modelo teórico recente sugere que competência motora na primeira infância está relacionada com o estado de saúde atual e futuro e práticas de esportes parecem ser especiais para tal competência. Este estudo comparou o desempenho motor grosso de pré-escolares participantes em práticas esportivas regulares (PE) com o daqueles não participantes nessas práticas (NPE), incluindo comparações entre gêneros. Dados do desempenho em habilidades locomotoras e de controle de objetos foram retirados de um estudo de base populacional com pré-escolares (3 a 5 anos); pré-escolares foram alocados em grupos PE e NPE, pareados por idade e gênero, para as habilidades locomotoras (n = 54; 30 meninos) ou controle de objetos (n = 37; 17 meninos). Análise de variância mostrou que o grupo PE foi melhor que o NPE; houve diferenças entre gêneros somente no grupo NPE. Práticas esportivas, já durante a primeira infância, contribuem para a competência motora, beneficiando ambos os gêneros. Palavras-chave: desempenho psicomotor, crianças, esportes, atividade físicaResumen-"La participación en la práctica del deporte y la competencia motriz en niños en edad preescolar." Modelo teórico reciente sugiere que la competencia motriz en la primera infancia está relacionada con el estado de salud actual y futuro; las prácticas deportivas parecen ser especial para dicha competencia. Este estudio comparó el desempeño motor bruto de los niños en edad preescolar que participan en las prácticas deportivas regulares (PD) con los que no participan (NPD), incluyendo comparaciones de género. Se tomaron los datos de desempeño en habilidades locomotoras y control objeto de estudio basado en la población con los niños en edad preescolar (3-5 años); los niños se dividieron en grupos PD y NPD, emparejados por edad y género, según las habilidades locomotoras (n = 54, 30 hombres) o de control de objetos (n = 37, 17 varones). El análisis de va...

From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions.

There is only limited evidence to suggest that training during childhood produces greater adaptations than at other ages. The aim of this study was to examine the effects of plyometric training (12 weeks, twice/week, 20 min/day) on physical fitness (PF) and gross motor coordination (GMC) in schoolboys aged 7-9 years. A total of 116 boys were assigned to two groups: plyometric training group (PT,n = 73) and control group (CG,n = 43). The CG maintained their normal daily activities. The PT consisted of twice-weekly exercises on nonconsecutive days for twelve weeks under monitored and controlled conditions. PF (handgrip strength, standing long jump (SLJ), curl-ups, sit and reach, square-test, running speed, and 1 mile run test), GMC, Korper-koordinations-test fur Kinder (KTK), and body mass index (BMI) were assessed. The main results through a 2 × 2 (time × groups) repeated measures analysis variance demonstrated a significant time effect that improves PF and GMC according to the direction of the measure. A group effect was observed only in the abdominal strength test (CG = 12.06% and PT = 17.04%) and moving sideways (CG = 11.1% and PT = 12.4%) showing that independent of the group there was an improvement. A significant interaction effect (time × groups) was observed in the flexibility test (CG = −2.7% and PT = 3.5%) and STJ (CG = 3.1% and PT = 18.5%), as well as jumping sideways (CG = 16.3% and PT = 17.4%) and overall GMC score (CG = 9.8% and PT = 15.9%), showing that gains in these variables were greater in the PT group. The results suggest that 12 weeks of PT improve components of gross motor coordination and health-related physical fitness in children.

This study examined the relative contribution of age, stage of puberty, anthropometric characteristics, health-related fitness, soccer-specific tests and match-related technical performance to variance in involvements with the ball during recreational 5-a-side small-sided (32 × 15 m) soccer matches. Using a cross-sectional design, 80 healthy male students (14.6 ± 0.5 years of age; range 13.6-15.4) who played soccer recreationally were randomly divided into 10 teams and played against each other. Measurements included height, body mass, pubertal status, health-related fitness (12-min walk/run test, standing long jump, 15-m sprint and sit-ups in 30 s), soccer-specific tests (kicking for speed, passing for accuracy and agility run with and without a ball), match-related technical performance (kicks, passes and dribbles) and involvements with the ball during matches. Forward multiple regression analysis revealed that cardiorespiratory fitness (12-min walk/run test) accounted for 36% of the variance in involvements with the ball. When agility with the ball (zigzag running) and power (standing long jump) were included among the predictors, the total explained variance increased to 62%. In conclusion, recreational adolescent players, regardless of their soccer-specific skills, may increase participation in soccer matches most through physical activities that promote improvement in cardiorespiratory fitness, muscle power and agility.

Perceived motor competence (PMC) is a psychological construct that may be influenced by various environmental factors. This study aimed to analyze differences in PMC of children from four diverse countries. The sample was comprised of 231 Brazilian, 129 Australian, 140 Portuguese, and 114 American children, aged 5–8 years. The PMC was assessed using the Pictorial Scale of Perceived Movement Skill Competence for Young Children. Differences in PMC among countries were verified using Kruskal-Wallis tests, separately by age and gender. For girls (from the age of six), differences were found in the leap, slide, hit, and catch, as well as the sum of object control skills and total score. For boys, differences were found among countries in the gallop, jump, slide, hit, catch, and roll, as well as the sum of locomotor and object control skills, and the total skill score. Overall, American children seem to perceive themselves more competent compared to children from other countries. Leisure and sport activities in each country may influence the construction of PMC.